U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT
Form Approved
Office of Management and Budget
No.
1245-0003
Expires:
09-30-2021
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR
MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN
TRUSTEESHIP
This report is
mandatory under P.L. 86-257, as amended. Failure to comply
may result in criminal prosecution, fines, or civil penalties as
provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS
REPORT.
For Official Use Only
1. FILE NUMBER
031-827
2.
PERIOD COVERED
From
01/01/2020
Through
12/31/2020
3.
(a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This
is a terminal report:
No
4. AFFILIATION OR ORGANIZATION NAME
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
401
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SCOTT
Last Name
KUCHARSKI
P.O Box - Building and Room Number
PO BOX 1420
Number and Street
260 SOUTH WASHINGTON STREET
City
WILKES-BARRE
State
PA
ZIP Code + 4
187031420
9. Are your organization's records kept at its
mailing address?
Yes
Each of the undersigned, duly authorized
officers of the above labor organization, declares,
under penalty of perjury and other applicable penalties
of law, that all of the information submitted in this
report (including information contained in any
accompanying documents) has been examined by the
signatory and is, to the best of the undersigned
individual's knowledge and belief, true, correct
and complete (See Section V on penalties in the
instructions.)
70. SIGNED:
Mark Dimirco
PRESIDENT
71. SIGNED:
Scott Kucharski
TREASURER
Date:
Mar 30, 2021
Telephone
Number:
570-823-5131
Date:
Mar 30, 2021
Telephone
Number:
570-823-3121
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
031-827
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
Yes
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
No
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
No
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
Yes
13. During the reporting period did the labor
organization discover any loss or shortage of funds or
other assets? (Answer "Yes" even if there has
been repayment or recovery.)
No
14. What is the maximum amount recoverable
under the labor organization's fidelity bond for a
loss caused by any officer, employee or agent of the labor
organization who handled union funds?
$250,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
10/2023
20. How many members did the labor organization
have at the end of the reporting period?
1,282
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
20 TO 107
per
N/A
20
107
(b) Working Dues/Fees
N/A
per
N/A
N/A
N/A
(c) Initiation Fees
50 TO 150
per
N/A
50
150
(d) Transfer Fees
.50
per
N/A
.50
.50
(e) Work Permits
N/A
per
N/A
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
031-827
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$230,657
$227,625
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$1,234,460
$1,334,948
27. Fixed Assets
6
$109,938
$87,452
28. Other Assets
7
$0
$0
29.
TOTAL ASSETS
$1,575,055
$1,650,025
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
$0
31. Loans Payable
9
$7,557
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$0
$0
34. TOTAL
LIABILITIES
$7,557
$0
35. NET
ASSETS
$1,567,498
$1,650,025
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
031-827
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$877,236
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$19,810
39. Sale of Supplies
$2,192
40. Interest
$7,694
41. Dividends
$0
42. Rents
$12,000
43. Sale of Investments
and Fixed Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$671
48. Other Receipts
14
$62,887
49. TOTAL RECEIPTS
$982,490
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$327,229
51.
Political Activities and Lobbying
16
$150
52.
Contributions, Gifts, and Grants
17
$1,452
53. General
Overhead
18
$134,853
54. Union
Administration
19
$28,287
55. Benefits
20
$227,488
56. Per
Capita Tax
$216,319
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$5,217
60. Purchase
of Investments and Fixed Assets
4
$0
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$7,557
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$671
65. Direct
Taxes
$36,299
66. Subtotal
$985,522
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$107,430
67b. Less Total
Disbursed
$107,430
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$985,522
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
031-827
Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized
accounts receivable
$0
$0
$0
$0
Totals from all other
accounts receivable
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
031-827
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$0
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
031-827
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all
lines above
$0
$0
$0
$0
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
031-827
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
031-827
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$1,045,409
B. Total Book Value
$1,334,948
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
F. List each other
investment which has a book value over $5,000 and
exceeds 5% of Line E. Also, list each subsidiary
for which separate reports are attached.
G. Total of Lines B and E
(Total will be automatically entered in Item 26,
Column(B))
$1,334,948
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
031-827
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
Wilkes-Barre, PA
$6,867
$6,867
$6,867
B.
Buildings (give location)
Building
1
:
Wilker-Barre, PA
$318,715
$258,384
$60,331
$60,331
C. Automobiles
and
Other Vehicles
$84,980
$67,645
$17,335
$17,335
D. Office
Furniture
and Equipment
$29,129
$29,129
$0
$0
E.
Other Fixed Assets
$24,360
$21,441
$2,919
$2,919
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$464,051
$376,599
$87,452
$87,452
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
031-827
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
031-827
Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable
$0
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
031-827
Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable
$7,557
$0
$7,557
$0
$0
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Luzerne Bank
$7,557
$0
$7,557
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
031-827
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
031-827
(A) Name
(B) Title
(C) Status
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances
Disbursed
(F)
Disbursements
for Official Business
(G)
Other
Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
Kucharski
,
Scott
Secretary - Treasurer/BA C
$114,863
$0
$6,772
$0
$121,635
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
3
%
Schedule 19
Administration
7
%
A
B
C
Dimirco
,
Mark
President/BA N
$63,973
$0
$2,145
$0
$66,118
I
Schedule 15
Representational Activities
93
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
2
%
Schedule 19
Administration
5
%
A
B
C
Sissick
,
Thomas
A Vice President C
$2,460
$0
$0
$0
$2,460
I
Schedule 15
Representational Activities
9
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
91
%
A
B
C
Martinchek
,
Neil
E Recording Secretary C
$3,364
$0
$0
$0
$3,364
I
Schedule 15
Representational Activities
9
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
91
%
A
B
C
Colwell
,
John
Trustee C
$2,460
$0
$0
$0
$2,460
I
Schedule 15
Representational Activities
9
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
91
%
A
B
C
Keller
,
Dale
Trustee C
$2,460
$0
$0
$0
$2,460
I
Schedule 15
Representational Activities
9
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
91
%
A
B
C
Binner
,
Martin
Trustee C
$2,460
$0
$0
$0
$2,460
I
Schedule 15
Representational Activities
9
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
91
%
A
B
C
Connors
,
Patrick
D Secretary - Treasurer/BA P
$40,804
$0
$767
$0
$41,571
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
3
%
Schedule 19
Administration
7
%
Total Officer
Disbursements
$232,844
$0
$9,684
$0
$242,528
Less Deductions
$88,793
Net
Disbursements
$153,735
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
031-827
(A) Name
(B) Title
(C) Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
Musto
,
Lisa
M Book Keeper None
$34,328
$0
$0
$0
$34,328
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
90
%
Schedule 19
Administration
0
%
A
B
C
Wroblewski
,
Jennifer
Administrative Assistant None
$13,833
$0
$0
$0
$13,833
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
90
%
Schedule 19
Administration
0
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$3,335
$0
$0
$3,335
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
Total
Employee Disbursements
$51,496
$0
$0
$0
$51,496
Less
Deductions
$18,637
Net Disbursements
$32,859
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
031-827
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,282
Agency Fee Payers*
5
Total Members/Fee Payers
1,287
*Agency Fee Payers are
not considered members of the labor organization.
Active
1,282
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
031-827
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$62,316
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$571
4. Total
Receipts
$62,887
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$1,452
6. Total
Disbursements
$1,452
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$13,779
2. Named Payee
Non-itemized Disbursements
$81,833
3. To Officers
$209,563
4. To Employees
$8,151
5. All Other
Disbursements
$13,903
6. Total
Disbursements
$327,229
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$18,213
2. Named Payee
Non-itemized Disbursements
$30,544
3. To Officers
$6,218
4. To Employees
$43,345
5. All Other
Disbursements
$36,533
6. Total
Disbursements
$134,853
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$150
6. Total
Disbursements
$150
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$26,747
4. To Employees
$0
5. All Other
Disbursements
$1,540
6. Total
Disbursements
$28,287
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
031-827
Name and Address
(A)
Teamsters Local 401 - Investments
260 South Washington St Wilkes-Barre PA 18703-1420
Type or Classification
(B)
Transfer from Investment Account
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$62,316
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$62,316
Transfer from Investment Account
03/03/2020
$62,316
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
031-827
Name and Address
(A)
A T & T 5019
CAROL STREAM IL 60197-5019
Type or Classification
(B)
Cell Phones
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,082
Total of All Transactions with this
Payee/Payer for This Schedule
$5,082
Name and Address
(A)
Hourigan, Kluger & Quinn
600 Third Avenue Kingston PA 18704
Type or Classification
(B)
Legal Fees
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$13,779
Total
Non-Itemized Transactions with this Payee/Payer
$39,579
Total of All Transactions with this
Payee/Payer for This Schedule
$53,358
Legal Fees
07/23/2020
$6,583
Legal Fees
11/20/2020
$7,196
Name and Address
(A)
Teamsters Local 401
260 South Washington St Wilkes-Barre PA 18703-1420
Type or Classification
(B)
Steward Dues
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$32,172
Total of All Transactions with this
Payee/Payer for This Schedule
$32,172
Name and Address
(A)
Walt DeTreux 11567
Philadelphia PA 19116
Type or Classification
(B)
Arbitration Fees
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
031-827
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
031-827
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
031-827
Name and Address
(A)
Kosmerl & Co., P.C. 535 North Fifth Street
Reading PA 19601-3005
Type or Classification
(B)
Audit & Accounting Services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,800
Total
Non-Itemized Transactions with this Payee/Payer
$14,400
Total of All Transactions with this
Payee/Payer for This Schedule
$22,200
Audit & Accounting Services
11/20/2020
$7,800
Name and Address
(A)
Labor Benefits, LLC
10104 Senate Drive Lanham MD 20706
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,045
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,045
Insurance
03/11/2020
$5,045
Name and Address
(A)
Liberty Mutual Insurance 2839
New York NY 10116-2839
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,368
Total
Non-Itemized Transactions with this Payee/Payer
$10,976
Total of All Transactions with this
Payee/Payer for This Schedule
$16,344
Insurance
10/26/2020
$5,368
Name and Address
(A)
Right Height Lawn Care
12 Long Leaf Lane Pittston PA 18640
Type or Classification
(B)
Lawn Care & Landscaping
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,168
Total of All Transactions with this
Payee/Payer for This Schedule
$5,168
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
031-827
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
031-827
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$227,488
Health & Welfare
Teamsters #401 H&W Fund
$79,029
Health & Welfare
Jt. Council #53 Retirees H&W
$21,325
Pension
Jt. Council #53 Pension Fund
$35,541
Pension
CPTPF
$91,593
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
031-827
Question 10: Teamsters Local 401 Health & Welfare Fund
260 S. Washington street
Wilkes-Barre, Pennsylvania 18701
Question 12: Kosmerl & Co.,P.C.
535 North Fifth Street
Reading, PA 19601